acute brain syndrome

急性脳症候群

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. せん妄および錯乱状態の診断diagnosis of delirium and confusional states [show details]
  …regarding the distinction between delirium and confusional states. The terms "acute confusional state" and "encephalopathy" are often used synonymously with delirium. The more general term "confusion" …
• 2. せん妄および急性錯乱状態：予防、治療、および予後delirium and acute confusional states prevention treatment and prognosis [show details]
  …however, the term "delirium" will be used synonymously with "acute confusional state" and will include states characterized by somnolence and decreased arousal, so-called "hypoactive delirium." The management …
• 3. 成人の覚醒遅延および覚醒時せん妄delayed emergence and emergence delirium in adults [show details]
  …the causes and management of delayed emergence and emergence delirium after general anesthesia. Management of persistent postoperative delirium is addressed separately. Other problems that occur in the …
• 4. 小児の覚醒時せん妄および激越emergence delirium and agitation in children [show details]
  … Delirium and agitation can occur as a child awakens, or emerges, from anesthesia. Emergence delirium (ED) may be distressing to the patient, parents, and caregivers, and can result in inadvertent removal …
• 5. 最新の診療アップデートpractice changing updates [show details]

English Journal

• Ketofol performance to reduce postoperative emergence agitation in children undergoing adenotonsillectomy.

• Ali I, Alahdal M, Xia H, S El Moughrabi A, Shiqian H, Yao S.
• The Libyan journal of medicine. 2020 Dec;15(1)1688450.
• Array
• PMID 31771436

• Rapid in-person cognitive screening in the preoperative setting: Test considerations and recommendations from the Society for Perioperative Assessment and Quality Improvement (SPAQI).

• Arias F, Wiggins M, Urman RD, Armstrong R, Pfeifer K, Bader AM, Libon DJ, Chopra A, Price CC.
• Journal of clinical anesthesia. 2020 Jun;62()109724.
• There are few cognitive screening tools appropriate for fast-paced settings with limited staffing, and particularly in preoperative evaluation clinics. The Society for Perioperative Assessment and Quality Improvement (SPAQI) convened experts in neuropsychology, geriatric medicine, and anesthesiology
• PMID 32018131

• Association of obstructive sleep apnea and postoperative cardiac complications: A systematic review and meta-analysis with trial sequential analysis.

• Ng KT, Lee ZX, Ang E, Teoh WY, Wang CY.
• Journal of clinical anesthesia. 2020 Jun;62()109731.
• The repetitive hypoxic and hypercapnia events of obstructive sleep apnea (OSA) are believed to adversely affect cardiopulmonary function, which make them vulnerable to a higher incidence of postoperative complications. The primary aim of this systematic review and meta-analysis was to examine the as
• PMID 31986433

Japanese Journal

• 早期胃癌に伴う播種性骨髄癌症により脳塞栓症を繰り返した1例

• 中島 大輔,田中 瑛次郎,山田 丈弘,小島 雄太,北大路 隆正,永金 義成
• 臨床神経学, 2020
• <p>症例は67歳女性．早期胃癌に対する手術の既往あり．起床時から呂律が回らないため入院した．頭部MRIで右中心前回と右小脳に急性期脳梗塞巣を認め，脳塞栓症と診断し抗凝固療法を開始したが，脳梗塞再発を繰り返した．頸動脈エコー，経胸壁および経食道心エコー，ホルター心電図では塞栓源性疾患を検出せず，上部消化管内視鏡，胸腹部造影CTでは胃癌の局所再発やリンパ節転移は認めなかったが，ALPとD …
• NAID 130007822950

• Systemic Inflammatory Response Syndrome Is a Major Determinant of Cardiovascular Outcome in Takotsubo Syndrome

• Lachmet-Thébaud Lucie,Ohlmann Patrick,Jesel Laurence,Morel Olivier,Marchandot Benjamin,Matsushita Kensuke,Dagrenat Charlotte,Peillex Marilou,Sato Chisato,Trimaille Antonin,Reydel Antje,Trinh Annie
• Circulation Journal 84(4), 592-600, 2020
• … <p><b><i>Background:</i></b>Recent insights have emphasized the importance of inflammatory response in takotsubo syndrome (TTS). … We sought to evaluate the predictors of systemic inflammatory response syndrome (SIRS) and its impact on cardiovascular mortality after TTS.</p><p><b><i>Methods and Results:</i></b>The 215 TTS patients were retrospectively included between September 2008 and January 2018. …
• NAID 130007815676

• Multiphasic acute disseminated encephalomyelitis and differential with early onset multiple sclerosis

• Stokes Brackett Arla Cinderella,Hernández-Fustes Otto Jesus,Arteaga Rodríguez Carlos,Hernandez Fustes Olga Judith
• Intractable & Rare Diseases Research 9(1), 61-63, 2020
• … Acute disseminated encephalomyelitis is a monophasic, polysymptomatic disorder that involves the CNS white matter with demyelinating lesions, which usually occurs after systemic viral infections. … These two demyelinating diseases can present initially as an acute focal neurological syndrome and they can be difficult to distinguish. …
• NAID 130007810269

Related Links

• Definition of Acute brain syndrome - MedicineNet

Read medical definition of Acute brain syndrome MedicineNet SYMPTOM CHECKER Coronavirus Disease & Conditions Conditions A-Z Procedures A-Z Allergies Alzheimer's Arthritis Asthma Blood Pressure Cancer Heart ...

• Acute brain syndrome - RightDiagnosis.com

Acute brain syndrome information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues. Introduction: Acute brain syndrome Description of Acute brain syndrome Acute brain syndrome: disorder characterized by confusion, inattentiveness, disorientation, illusions, hallucinations, agitation and in some instances autonomic nervous system overactivity; may ...

• “Acute Brain Syndrome”

Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (298K), or click on a page image below to browse page by page.

---

★リンクテーブル★

リンク元	「譫妄」
関連記事	「acute」「brain」「syndrome」

「譫妄」

　　[★]

譫妄

「せん妄」を使うのが普通らしいよ

英

delirium, confusional state

同

せん妄。急性錯乱状態 acute confusional state、急性脳症候群 acute brain syndrome

関

意識障害。アメンチア　←　せん妄の軽度なものとして使われていたが、今日で使われるのは稀らしい。

定義

• 意識混濁+精神運動興奮

• 種々の意識混濁があって、時間、空間の見当識障害が見られ、情動不穏、精神運動興奮が見られる状態

概念

• 軽度ないし中等度の意識混濁が基底にあり、認知の障害、精神運動活動の変化を主徴とする急性の器質性精神症候群。
• 急性発症し日内変動を示し、数日ないし1週間くらいで消失する。

症状

• 患者は強い不安、恐怖状態にあり、体動が激しく、錯覚、幻覚も出現する。
• 見当識も障害されており、発症中の記憶はないか不完全である。

疾患との関連

• 手術後、感染症等の身体的疾患、薬物中毒、多発性脳梗塞、痴呆など脳機能が低下しているときに発生しやすい

病因

table 26-2 譫妄の主要な病因 (HIM.160)

• 毒物

• 処方薬：抗コリン薬、麻薬、ベンゾジアゼピン系薬
• 薬物乱用：アルコール中毒、アルコール離脱、オピオイド系薬、エクスタシ、LSD、γ-ヒドロキシ酪酸(GHB, γ-hydroxybutyrate)、フェンシクリジン(PCP, phencyclidine)

• 代謝

• 電解質異常：低血糖、高血糖、低ナトリウム血症、高ナトリウム血症、高カルシウム血症、低カルシウム血症、低マグネシウム血症、低体温、高体温
• 肺不全：低酸素血症、高炭酸ガス血症
• 肝不全、肝性脳症
• 腎不全、尿毒症
• 心不全
• ビタミン欠乏症：ビタミンB12、チアミン、葉酸、ナイアシン
• 脱水、低栄養
• 貧血

• 感染症

• 全身感染症：尿路感染症、肺炎、皮膚・軟部組織感染症、敗血症
• 中枢神経感染症：髄膜炎、脳炎、脳の右葉

• 内分泌

• 甲状腺機能亢進症、甲状腺機能低下症
• 副甲状腺機能亢進症
• 副腎不全

• 心血管疾患

• 全身性低灌流状態(global hypoperfusion states)
• 高血圧性脳症
• 巣状虚血性梗塞や出血：頭頂葉、視床(ただ主要な病変部位ではない)

• 自己免疫性疾患

• 中枢神経性血管炎
• 脳ループス

• てんかん関連疾患

• 非痙攣性てんかん重積状態
• intermittent seizures with prolonged post-ictal states

• 腫瘍性疾患

• 脳へのびまん性転移
• 癌性髄膜炎
• 大脳神経膠腫症

• 入院
• 終末期の譫妄

「acute」

　　[★]

• adj.

• (疾患)急性の、急性型の、急性的な。(形状が)鋭い、鋭角の。(感覚、才知などが)鋭い。明敏な、鋭い眼識のある。

関

acutely、quick、sharp

　 　 　 　 　 　

「brain」

　　[★] 脳

　 　 　 　 　 　

「syndrome」

　　[★]

• n.

• 症候群